Individual
RICHARD CALLESTO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
237 BRIGGS ST, BEAUMONT, TX 77707-2330
(409) 658-9026
Mailing address
237 BRIGGS ST, BEAUMONT, TX 77707-2330
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207642
TX
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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